2805 Veterans Memorial Highway, Suite 17, Ronkonkoma, NY 11779

Customer Service: 1 877-233-7058
TTY/TDD: 711
Oct 1 – Feb 14: Mon – Sun, 8:00 a.m. – 8:00 p.m. ET
Feb 15 – Sept 30: Mon – Fri, 8:00 a.m. – 8:00 p.m. ET
– verify member eligibility
– plan benefits Monday – Friday, 8:00 a.m. – 8:00 p.m. ET

Compliance Department
Anonymous Compliance Hotline- 1-877-303-1768
Email: compliancemail@qualityhealthplansny.com

Utilization Management 1-877-233-7058
Fax 1-877-817-1008
– referrals
– pre-cert
– case management Monday – Friday, 8:00 a.m. – 5:00 p.m. ET
24/7 emergency hotline

Provider Relations & Network Services 1-877-233-7058
Fax 1-877-612-8025
– credentialing
– contracting Monday – Friday, 8:00 a.m. – 5:00 p.m. ET

Prescription Drug Authorizations:
QHPNY Pharmacy Department 1-877-233-7058
Fax 1-877-817-8042
Monday thru Friday 8:00am – 5:00pm
Authorizations are available 24 hours a day, 7 days a week

Pharmacy Help Desk / Prescription Claims:
AmWINS Rx 1-866-693-3921

Anonymous Compliance & Fraud,
Waste and Abuse Hotline: 1-877-303-1768

Claims Address
Quality Health Plans of New York Claims
P.O. Box 340397
Tampa, FL 33694-0397